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MR. MIKEL JAMES JACKSON ATC
NPI 1679994263
Specialist/Technologist - Athletic Trainer in Oakland, CA

Active since December 26, 2013
1832 101ST AVE, OAKLAND, CA 94603(408) 799-1230 Get Directions Write a Review

NPPES record last updated: December 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mikel James Jackson Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MIKEL JAMES JACKSON ATC (NPI 1679994263) is an individual athletic trainer provider in Oakland, California and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1679994263
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. MIKEL JAMES JACKSONCredential: ATC
Location Address1832 101ST AVEOakland, CA 94603-3304
Mailing AddressPo Box 761San Leandro, CA 94577-0435
Phone(408) 799-1230
Sole ProprietorNo
Enumeration DateDecember 26, 2013
✔ NPI 1679994263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1832 101ST AVE, Oakland, CA 94603
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mikel Jackson's NPI number?

The NPI number for Mikel Jackson is 1679994263. It was assigned to this individual provider in the NPPES registry on December 26, 2013.

Where is Mikel Jackson located?

Mikel Jackson practices at 1832 101st Ave, Oakland, CA 94603. The listed phone number is (408) 799-1230.

What is Mikel Jackson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Mikel Jackson was last updated on December 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.